| NPI | 1134453178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NINETTE FONSECA CHICCA President/Speech Pathologist 707-364-6075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP17198) |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2011-12-21 |